§ 5A-8 — Hospital Provider Fund

(a) There is created in the State Treasury the Hospital Provider Fund. Interest earned by the Fund shall be credited to the Fund. The Fund shall not be used to replace any moneys appropriated to the Medicaid program by the General Assembly. (b) The Fund is created for the purpose of receiving moneys in accordance with Section 5A-6 and disbursing moneys only for the following purposes, notwithstanding any other provision of law: (1) For making payments to hospitals as required under this Code, under the Children's Health Insurance Program Act, under the Covering ALL KIDS Health Insurance Act, and under the Long Term Acute Care Hospital Quality Improvement Transfer Program Act. (2) For the reimbursement of moneys collected by the Illinois Department from hospitals or hospital providers through error or mistake in performing the activities authorized under this Code. (3) For payment of administrative expenses incurred by the Illinois Department or its agent in performing activities under this Code, under the Children's Health Insurance Program Act, under the Covering ALL KIDS Health Insurance Act, and under the Long Term Acute Care Hospital Quality Improvement Transfer Program Act. (4) For payments of any amounts which are reimbursable to the federal government for payments from this Fund which are required to be paid by State warrant. (5) For making transfers, as those transfers are authorized in the proceedings authorizing debt under the Short Term Borrowing Act, but transfers made under this paragraph (5) shall not exceed the principal amount of debt issued in anticipation of the receipt by the State of moneys to be deposited into the Fund. (6) For making transfers to any other fund in the State treasury, but transfers made under this paragraph (6) shall not exceed the amount transferred previously from that other fund into the Hospital Provider Fund plus any interest that would have been earned by that fund on the monies that had been transferred. (6.5) For making transfers to the Healthcare Provider Relief Fund, except that transfers made under this paragraph (6.5) shall not exceed $60,000,000 in the aggregate. (7) For making transfers not exceeding the following amounts, related to State fiscal years 2013 through 2018, to the following designated funds: Health and Human Services Medicaid Trust Fund ............................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,000,000 Long-Term Care Provider Fund ........... . . . . . . . . . . . $30,000,000 General Revenue Fund .................. . . . . . . . . . . . . . . . . . . $80,000,000. Transfers under this paragraph shall be made within 7 days after the payments have been received pursuant to the schedule of payments provided in subsection (a) of Section 5A-4. (7.1) (Blank). (7.5) (Blank). (7.8) (Blank). (7.9) (Blank). (7.10) For State fiscal year 2014, for making transfers of the moneys resulting from the assessment under subsection (b-5) of Section 5A-2 and received from hospital providers under Section 5A-4 and transferred into the Hospital Provider Fund under Section 5A-6 to the designated funds not exceeding the following amounts in that State fiscal year: Healthcare Provider Relief Fund ....... . . . . . . . $100,000,000 Transfers under this paragraph shall be made within 7 days after the payments have been received pursuant to the schedule of payments provided in subsection (a) of Section 5A-4. The additional amount of transfers in this paragraph (7.10), authorized by Public Act 98-651, shall be made within 10 State business days after June 16, 2014 (the effective date of Public Act 98-651). That authority shall remain in effect even if Public Act 98-651 does not become law until State fiscal year 2015. (7.10a) For State fiscal years 2015 through 2018, for making transfers of the moneys resulting from the assessment under subsection (b-5) of Section 5A-2 and received from hospital providers under Section 5A-4 and transferred into the Hospital Provider Fund under Section 5A-6 to the designated funds not exceeding the following amounts related to each State fiscal year: Healthcare Provider Relief Fund ....... . . . . . . . $50,000,000 Transfers under this paragraph shall be made within 7 days after the payments have been received pursuant to the schedule of payments provided in subsection (a) of Section 5A-4. (7.11) (Blank). (7.12) For State fiscal year 2013, for increasing by 21/365ths the transfer of the moneys resulting from the assessment under subsection (b-5) of Section 5A-2 and received from hospital providers under Section 5A-4 for the portion of State fiscal year 2012 beginning June 10, 2012 through June 30, 2012 and transferred into the Hospital Provider Fund under Section 5A-6 to the designated funds not exceeding the following amounts in that State fiscal year: Healthcare Provider Relief Fund ........ . . . . . . . . $2,870,000 Since the federal Centers for Medicare and Medicaid Services approval of the assessment authorized under subsection (b-5) of Section 5A-2, received from hospital providers under Section 5A-4 and the payment methodologies to hospitals required under Section 5A-12.4 was not received by the Department until State fiscal year 2014 and since the Department made retroactive payments during State fiscal year 2014 related to the referenced period of June 2012, the transfer authority granted in this paragraph (7.12) is extended through the date that is 10 State business days after June 16, 2014 (the effective date of Public Act 98-651). (7.13) In addition to any other transfers authorized under this Section, for State fiscal years 2017 and 2018, for making transfers to the Healthcare Provider Relief Fund of moneys collected from the ACA Assessment Adjustment authorized under subsections (a) and (b-5) of Section 5A-2 and paid by hospital providers under Section 5A-4 into the Hospital Provider Fund under Section 5A-6 for each State fiscal year. Timing of transfers to the Healthcare Provider Relief Fund under this paragraph shall be at the discretion of the Department, but no less frequently than quarterly. (7.14) For making transfers not exceeding the following amounts, related to State fiscal years 2019 and 2020, to the following designated funds: Health and Human Services Medicaid Trust Fund ............................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,000,000 Long-Term Care Provider Fund ........... . . . . . . . . . . . $30,000,000 Healthcare Provider Relief Fund ...... . . . . . . $325,000,000. Transfers under this paragraph shall be made within 7 days after the payments have been received pursuant to the schedule of payments provided in subsection (a) of Section 5A-4. (7.15) For making transfers not exceeding the following amounts, related to State fiscal years 2023 through 2024, to the following designated funds: Health and Human Services Medicaid Trust Fund .............................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,000,000 Long-Term Care Provider Fund .......... . . . . . . . . . . $30,000,000 Healthcare Provider Relief Fund ...... . . . . . . $365,000,000 (7.16) For making transfers not exceeding the following amounts, related to July 1, 2024 to December 31, 2024, to the following designated funds: Health and Human Services Medicaid Trust Fund .............................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10,000,000 Long-Term Care Provider Fund .......... . . . . . . . . . . $15,000,000 Healthcare Provider Relief Fund ...... . . . . . . $182,500,000 (7.17) For making transfers not exceeding the following amounts, related to calendar years 2025 and each calendar year thereafter, the following designated funds: Health and Human Services Medicaid Trust Fund ............................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20,000,000 Long-Term Care Provider Fund ........... . . . . . . . . . . . $30,000,000 Healthcare Provider Relief Fund ..... . . . . . $505,637,082; however the amount shall remain $365,000,000 until the reimbursement rates described in subsection (r) of Section 5A-12.7 are fully implemented. If for any reason the assessment imposed by subsection (a) or (b-5) of Section 5A-2 is reduced, the amount of $505,637,082 shall be reduced by the same percentage. To provide for the expeditious and timely implementation of the changes made to this subsection by this amendatory Act of the 104th General Assembly, the Department may adopt emergency rules as authorized by Section 5-45 of the Illinois Administrative Procedure Act. The adoption of emergency rules is deemed to be necessary for the public interest, safety, and welfare. (8) For making refunds to hospital providers pursuant to Section 5A-10. (9) For making payment to capitated managed care organizations as described in subsections (s) and (t) of Section 5A-12.2, subsection (r) of Section 5A-12.6, and Section 5A-12.7 of this Code. Disbursements from the Fund, other than transfers authorized under paragraphs (5) and (6) of this subsection, shall be by warrants drawn by the State Comptroller upon receipt of vouchers duly executed and certified by the Illinois Department. (c) The Fund shall consist of the following: (1) All moneys collected or received by the Illinois Department from the hospital provider assessment imposed by this Article. (2) All federal matching funds received by the Illinois Department as a result of expenditures made by the Illinois Department that are attributable to moneys deposited in the Fund. (3) Any interest or penalty levied in conjunction with the administration of this Article. (3.5) As applicable, proceeds from surety bond payments payable to the Department as referenced in subsection (s) of Section 5A-12.2 of this Code. (4) Moneys transferred from another fund in the State treasury. (5) All other moneys received for the Fund from any other source, including interest earned thereon. (d) (Blank).

Legislative History

(Source: P.A. 104-7, eff. 6-16-25.)